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Translated Documents

Topic Office Division Program Contact Document
Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ INSTRUCCIONES GENERALES PARA COMPLETAR FORMULARIOS DEL REGISTRO DE ADOPCIONES E INTERCAMBIO DE DATOS MÉDICOS DE ILLINOIS (IARMIE)

Instructions for completing the IARMIE Registration Forms

Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ SOLICITUD PARA LA INSCRIPCIÓN EN EL REGISTRO DE ADOPCIONES E INTERCAMBIO DE DATOS MÉDICOS DE ILLINOIS

Illinois Adoption Registry and Medical Information Exchange (IARMIE) Application. IARMIE allows adoptees and birth parents to exchange medical and other information.

Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ Declaración escrita opcional

Optional written statement- this form may be used to provide and written statement to the Registry

Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ IDENTIFICACIÓN PARA LA INSCRIPCIÓN DE UNA PERSONA ADOPTADA

ADOPTED PERSON REGISTRATION IDENTIFICATION

Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ IDENTIFICACIÓN DE INSCRIPCIÓN DE UNA PERSONA ENTREGADA

SURRENDERED PERSON REGISTRATION IDENTIFICATION

Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ IDENTIFICACIÓN PARA LA INSCRIPCIÓN DE UN PADRE O MADRE ADOPTIVA

ADOPTIVE PARENT REGISTRATION IDENTIFICATION

Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ IDENTIFICACIÓN PARA LA INSCRIPCIÓN DEL TUTOR LEGAL

LEGAL GUARDIAN REGISTRATION IDENTIFICATION

Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ AUTORIZACIÓN PARA EL INTERCAMBIO DE DATOS

STATE OF ILLINOIS ADOPTION REGISTRY INFORMATION EXCHANGE AUTHORIZATION

Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ REGISTRO DE ADOPCIONES DE ILLINOIS. CUESTIONARIO DE DATOS MÉDICOS

ILLINOIS ADOPTION REGISTRY – MEDICAL QUESTIONNAIRE

Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ REGISTRO DE ADOPCIONES DEL ESTADO DE ILLINOIS NEGACIÓN DE INTERCAMBIO DE DATOS

STATE OF ILLINOIS ADOPTION REGISTRY DENIAL OF INFORMATION EXCHANGE

Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ Registro de Adopciones e Intercambio de Datos Médicos de Illinois (IARMIE) SOLICITUD PARA UNA COPIA NO-CERTIFICADA DE UN ACTA DE NACIMIENTO ORIGINAL

Illinois Adoption Registry and Medical Information Exchange (IARMIE) BIRTH PARENT REQUEST FOR A NON-CERTIFIED COPY OF AN ORIGINAL BIRTH CERTIFICATE

Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ Illinois Adoption Registry and Medical Information Exchange (IARMIE) SOLICITUD DE PADRE/MADRE BIOLÓGICO/A PARA UNA COPIA NO-CERTIFICADA DE UN ACTA DE NACIMIENTO ORIGINAL

Illinois Adoption Registry and Medical Information Exchange (IARMIE) REQUEST FOR A NON-CERTIFIED COPY OF AN ORIGINAL BIRTH CERTIFICATE

Adoption Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ Folleto del Registro de Adopciones e Intercambio de Datos Medicos de Illinois

Illinois Adoption Registry and Medical Information Exchange Brochure

Asbestos Office of Health Protection Environmental Health Asbestos JOHN D. REILLY Asbestos Worker Application

Asbestos worker license application

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ Instrucciones Para Legitimacciones

Instructions on How to Complete a Legitimation

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ DECLARACIÓN JURADA DE LA MADRE BIOLÓGICA

Affidavit for the Biological Mother to Complete a Legitimation

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ DECLARACIÓN JURADA DEL PADRE BIOLÓGICO

Affidavit for the Biological Father to Complete a Legitimation

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ DECLARACIÓN JURADA DEL MÉDICO DESPUÉS DE LA REASIGNACIÓN DEL SEXO

Affidavit by Physician After Completion of Gender Reassignment

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ Disposición de Defunción Fetal - Formulario de Notificación

Fetal Death Disposition-Notification Form. This form is for hospital use

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ Solicitud de Búsqueda de Actas de Nacimiento

Application for Search of Birth Record

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ Solicitud de Búsqueda de Archivos de Nacimiento de un Indiviuo Difunto

Application for Search of Birth Record of a Deceased Individual

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ Solicitud de Búsqueda de Archivos de Nacimiento de un Bebé Difunto

Application for Search of Birth Record of a Deceased Infant

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ Solicitud de Búsqueda de Archivos de Defunciones

Application for Search of Death Record Files

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ Solicitud de Búsqueda de Archivos de Nacimiento de un Individuo Difunto

Application for Search of Death Record Files of a Deceased individual

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ IDENTIFICACIÓN PARA LA INSCRIPCIÓN DE PARIENTES SOBREVIVIENTES DE UNA PERSONA ADOPTADA O ENTREGADA DIFUNTA

SURVIVING RELATIVES OF DECEASED ADOPTED OR SURRENDERED PERSON REGISTRATION IDENTIFICATION

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ IDENTIFICACIÓN PARA LA INSCRIPCIÓN DE PARIENTES SOBREVIVIENTES DE UN PADRE BIOLÓGICO O MADRE BIOLÓGICA

SURVIVING RELATIVES OF DECEASED BIRTH PARENT REGISTRATION IDENTIFICATION

Birth/Death Records Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ FORMULARIO DE PREFERENCIA DEL PADRE BIOLÓGICO

BIRTH PARENT PREFERENCE FORM

Choking Office of Preparedness and Response Emergency Medical Services & Highway Safety Special Programs Atteberry, Paula ASISTENCIA MEDICA DE EMERGENCIA PARA EL ATRAGATAMIENTO VICTIMA CONSCIENTE

PROCEDURES FOR A CONSCIOUS VICTIM WHO IS CHOKING.

Family Office of Health Promotion Health Assessment and Screening Genomics CLAUDIA NASH History of the Family brochure- Spanish

Informational brochure on the importance of the family history

Folic Acid Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF El Acido Folico Nos Hace Bien

Leaflet describing why folic acid supplementation is beneficial whether or not pregnancy is planned (CDC)

Folic Acid Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF Mi Cuerpo es mi tesoro

Leaflet describing advantages of taking folic acid supplementation (March of Dimes)

Folic Acid Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF Acido Folico

Handout about Folic Acid (CDC)

Folic Acid Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF La historia de Emma

A 10 page pamphlet telling the story of Emma, her pregnancy and use of folic acid to prevent neural tube defects (CDC)

Folic Acid Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF Mi Cuerpo es mi tesoro

Poster describing advantages of taking folic acid supplementation (March of Dimes)

Health Care Infections Office of Policy, Planning and Statistics Patient Safety and Quality Environmental Services in health care ERICA RUNNINGDEER Not Just a Maid Service

15 min video addressing the importance of Environmental Services in health care settings.

Hearing Office of Health Promotion Health Assessment and Screening Newborn Hearing Screening GINGER MULLIN Hands and Voices- Spanish

Un-biased parent-to-parent support and Spanish-language resources for families and children who are deaf or hard of hearing

Hearing Office of Health Promotion Health Assessment and Screening Newborn Hearing Screening GINGER MULLIN American Speech-Language-Hearing Association- Spanish

Provides information to families and the public with children who are deaf or hard of hearing

Hearing Office of Health Promotion Health Assessment and Screening Newborn Hearing Screening GINGER MULLIN Listening and Spoken Language Knowledge Center in Spanish

Resources for advancing listening and spoken language for individuals who are deaf or hard of hearing

Hearing Office of Health Promotion Health Assessment and Screening Newborn Hearing Screening GINGER MULLIN Informational brochures

Informational brochures available in many languages on different topics related to newborn hearing

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS What You Should Know About Exposure to Lead - Spanish

Handout for Daycare Providers to distribute to their clientele

Lead Office of Health Protection Environmental Health Lead Program ELEANOR M DAVIS Childhood Lead Risk Questionnaire - Spanish

Questionnaire used to evaluate risk for lead poisoning based on 9 questions

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Childhood Lead Risk Questionnaire - French

Questionnaire used to evaluate risk for lead poisoning based on 9 questions

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Worker Lead License Application Spanish

Application to apply for a lead worker license

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Get the Lead Out - Renovation - Spanish

Pamphlet describing lead safe activities during home renovation

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Get the Lead Out - Intervention - Spanish

Pamphlet describing methods to reduce blood lead levels

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Get the Lead Out - Prevention - Spanish

Pamphlet describing activities to reduce exposure to lead

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Pregnant Women and Lead Poisoning - How to Protect Your Unborn Child - Spanish

Pamphlet describing activities to reduce Prenatal exposure to lead

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Childhood Lead Poisoning - Spanish

Handout for summary of lead poisoning

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Sources of Childhood Lead Poisoning - Spanish

Handout for summary of sources of lead exposures

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Housekeeping Tips to Reduce Lead Exposure - Spanish

Handout for summary of housekeeping tips

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS The Medical Consequence of Lead Poisoning - Spanish

Handout for summary of medical Consequences of lead exposure

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Childhood Lead Poisoning - French

Handout for summary of lead poisoning

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Sources of Childhood Lead Poisoning - French

Handout for summary of sources of lead exposures

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Housekeeping Tips to Reduce Lead Exposure - French

Handout for summary of housekeeping tips

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS The Medical Consequence of Lead Poisoning - French

Handout for summary of medical Consequences of lead exposure

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Nutrition and Lead Poisoning - Spanish

Handout for summary of nutritional benefits

Lead Office of the Director Environmental Health Lead Program ELEANOR M DAVIS Nutrition and Lead Poisoning - French

Handout for summary of nutritional benefits

Marriage/Civil Union/Divorce Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ DECLARACIÓN JURADA Y CERTIFICADO DE CORRECCIÓN DEL ESTADO DE ILLINOIS

State of Illinois Affidavit and Certificate of Correction Request

Marriage/Civil Union/Divorce Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ DECLARACIÓN JURADA Y CERTIFICADO DE CORRECCIÓN DEL ESTADO DE ILLINOIS

Affidavit and Certificate of Correction Request

Marriage/Civil Union/Divorce Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ SOLICITUD DE VERIFICACIÓN DE UN ARCHIVO DE MATRIMONIO/UNIÓN CIVIL

APPLICATION FOR VERIFICATION OF MARRIAGE/CIVIL UNION RECORD FILES

Marriage/Civil Union/Divorce Office of Policy, Planning and Statistics Vital Records Vital Records (Birth, Death, Marriage, Divorce, Fetal Death, Adoptions) MEGAN CLARK-JIMENEZ SOLICITUD DE VERIFICACIÓN DE ARCHIVOS DE DISOLUCIÓN DE MATRIMONIO/UNIÓN CIVIL

APPLICATION FOR VERIFICATION OF DISSOLUTION OF MARRIAGE/CIVIL UNION RECORD FILES

Newborn Screening Office of Health Promotion Health Assessment and Screening Newborn Metabolic Screening CLAUDIA NASH A Baby's First Step in Life: A Newborn Screening Guide for Parents- Spanish

The process of Newborn Screening for parents, the Why, How, and What of Newborn Screening

Newborn Screening Office of Health Promotion Health Assessment and Screening Newborn Metabolic Screening CLAUDIA NASH Disorder Information- Spanish

Newborn Screening disorder panel information for parents

POLST/Medical Care Declarations Office of Preparedness and Response Emergency Medical Services & Highway Safety Special Programs Atteberry, Paula TESTAMENTO VITAL DECLARACION

LIVING WILL

POLST/Medical Care Declarations Office of Preparedness and Response Emergency Medical Services & Highway Safety Special Programs Atteberry, Paula FORMULARIO UNIFORME DE ORDENES MEDICAS PARA TRATAMIENTO DE SOPORTE VITAL (POLST) DEL IDPH

IDPH UNIFORM PRACTITIONER ORDER FOR LIFE-SUSTAINING TREATMENT (POLST) FORM

POLST/Medical Care Declarations Office of Preparedness and Response Emergency Medical Services & Highway Safety Special Programs Atteberry, Paula PODER NOTARIAL PARA CUIDADO MEDICO

POWER OF ATTORNEY FOR HEALTH CARE

POLST/Medical Care Declarations Office of Preparedness and Response Emergency Medical Services & Highway Safety Special Programs Atteberry, Paula GUIA PARA INDIVIDUOS

GUIDANCE FOR INDIVIDUALS FOR THE POLST FORM

POLST/Medical Care Declarations Office of Preparedness and Response Emergency Medical Services & Highway Safety Special Programs Atteberry, Paula GUIA PARA PROVEEDORES DE ATENCION MEDICA Y PROFESIONALES DE LA SALUD

GUIDANCE FOR HEALTHCARE PROVIDERS AND PROFESSIONALS FOR THE POLST FORM

POLST/Medical Care Declarations Office of Preparedness and Response Emergency Medical Services & Highway Safety Special Programs Atteberry, Paula DIRECTIVAS ANTICIPADAS

ADVANCED DIRECTIVES' RESOURCE TO VIEW WEB PAGE (EN ESPANOL)

POLST/Medical Care Declarations Office of Preparedness and Response Emergency Medical Services & Highway Safety Special Programs Atteberry, Paula DECLARACION PARA TRATAMIENTO DE SALUD MENTAL

VOLUNTARY DECLARATION IF UNABLE TO RECEIVE AND EVALUATE INFORMATION EFFECTIVELY

Pregnancy Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF Pink or Blue...We're here for you

A leaflet in English/Spanish providing information about March of Dimes services

Pregnancy Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF El Alcohol y el embarazo

Pamplet in English and Spanish that describes the problems alcohol can cause during pregnancy (March of Dimes)

Pregnancy Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF Como Reducir el Riesgo

A leaflet describing how to reduce the risk for having a pregnancy affected by a neural tube defect (CDC)

Pregnancy Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF El Alcohol y el embarazo

Leaflet that describes the problems alcohol can cause during pregnancy (March of Dimes)

Pregnancy Office of Health Promotion Health Assessment and Screening Genomics CLAUDIA NASH Fact Sheet: Prenatal Diagnostic Tests- Spanish

Information for pre-natal consumers on diagnostic testing

Pregnancy Office of Health Promotion Health Assessment and Screening Genomics CLAUDIA NASH Fact Sheet: Prenatal Screening Tests- Spanish

Information for pre-natal consumers on screening tests

Pregnancy Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF ¿Qué es la anencefalia?

Factsheet for parents who are expecting a child with anencephaly

Sexually Transmitted Disease Office of Health Protection Infectious Diseases STD Program   EPT STD Repeater Fact Sheet

Fact sheet for health care providers providing EPT to clients with repeat infection

Sexually Transmitted Disease Office of Health Protection Infectious Diseases STD Program   TREATMENT FACT SHEET for Partners CT and GC_SPANISH

Fact sheet for health care providers providing EPT to give to clients with chlamydia and gonorrhea infections to their sex partners

Sexually Transmitted Disease Office of Health Protection Infectious Diseases STD Program   TREATMENT FACT SHEET for Partners Chlamydia_SPANISH

Fact sheet for health care providers providing EPT to give to clients with chlamydia infection to their sex partners

Sexually Transmitted Disease Office of Health Protection Infectious Diseases STD Program   TREATMENT FACT SHEET for Partners GC_SPANISH

Fact sheet for health care providers providing EPT to give to clients with gonorrhea infection to their sex partners

Sickle Cell Office of Health Promotion Health Assessment and Screening Newborn Metabolic Screening CLAUDIA NASH Sickle Cell Disease and Sickle Cell Carrier Status- Spanish

Sickle cell disease and sickle cell carrier status information, what is it and why it is important to know about it

Spina Bifida Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF Espina Bifida

Factsheet for parents who have a child with spina bifida

Spina Bifida Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF La Vida con Espina Bifida

A 10 page pamphlet describing life with Spina Bifida (CDC)

Spina Bifida Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF ¿Qué es la espina bifida?

A trifold pamphlet describing spina bifida (Spina Bifida Association of Illinois)

Wellness on Wheels Office of the Director Center for Minority Health Services Wellness on Wheels Increasing Access to Health Care VERONICA HALLOWAY Test Document

Test Document- flyer for translation services.

  Office of Policy, Planning and Statistics Epidemiologic Studies APORS JANE FORNOFF Como Prevenir Defectos Congenitos

Trifold pamphlet describing how some birth defects can be prevented (CDC)